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Revised 01/24 <br />ORANGE COUNTY <br />CHANGE ORDER REQUEST <br />NORTH CAROLINA <br />______________________________________________________________________________________________________________ <br />Date: 09/18/2024 Project: Whitted Crosswalks Change Order No. 01 Department: AMS Department Address: 306 <br />Revere Road, Hillsborough NC 27278 Project: Whitted Crosswalks Contractor: Cactx Surfaces Contractor Address: PO Box 26103, <br />Winston Salem, NC 27114 Effective date of original contract: 3/5/2024 <br />This change order increases decreases the contract time by 120 days. Check here if no impact to contract time . <br />Will this change order impact the date of substantial completion? Yes No. If yes, the amended date of substantial completion is: <br />September 30, 2024 <br />_______________________________________________________________________________________________________________ <br />Full Description of Change: Increase the square footage from 160 to 320 for additional stamping <br />Reason for Change: Additional grinding of the crosswalks due to slope being to high, therefore additional stamping is required. <br />_______________________________________________________________________________________________________________ <br />Original contract sum: $ 4,547.00 <br />Contract sum prior to this change order: $ 4,547.00 <br />Amount of this change order: $ 4,547.40 <br />Total sum of the contract including this change order: $ 9094.40 <br />_______________________________________________________________________________________________________________ <br />This change order is executed to amend the contract time or contract sum. It shall not be construed to impact the original contract, project, services, or <br />work in any other manner. All other terms of the Original Contract remain in effect. <br />Approved and executed this 20th day of September, 2024. <br />_______________________________ _____________________________ _____________________________ <br />Contractor Owner Architect (when retained) <br />By:____________________________ By:___________________________ By:___________________________ <br />Docusign Envelope ID: 6925B0EA-6EDC-487B-B66B-DFA9822F8383 <br />9/18/2024 9/24/2024 <br />Deputy County ManagerDeputy County Manager